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Kang: Do We Have to Perform Surgical Treatment Simultaneously for Rotator Cuff Tear in Patients with Adhesive Capsulitis?

Clinical Article

Clinical Sports Medicine

The Korean Journal of Sports Medicine 2019; 37(1): 11-16.

Published online: 8 March 2019

DOI: https://doi.org/10.5763/kjsm.2019.37.1.11

Do We Have to Perform Surgical Treatment Simultaneously for Rotator Cuff Tear in Patients with Adhesive Capsulitis?

Suk-Woong Kang

Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.

Correspondence: Suk-Woong Kang. Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Korea. Tel: +82-55-360-2125, Fax: +82-55-360-2155, redmaniak@naver.com

Received 23 November 2018 Revised 8 February 2019 Accepted 8 February 2019

Copyright © 2019 The Korean Society of Sports Medicine

The Korean Society of Sports Medicine

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Retrospectively, the purpose of this study is to investigate the necessity for early operation for patients with rotator cuff tears and concomitant adhesive capsulitis.

Methods

From March 2013 to March 2017, we conducted a retrospective study on patients with rotator cuff tears and concomitant adhesive capsulitis. We analyzed 32 cases out of 39 cases who have small to medium rotator cuff tears, excluding patients who were unable to follow up over 1 years. We evaluated range of motion, visual analog scale (VAS) score, and Constant score. We compared patients of non-symptom and symptomatic patients related to rotator cuff tear.

Results

Among patients in the 32 cases, 21 cases of total patients improved without discomfort after recovering their range of motion and pain (group 1), and 11 cases were developed symptoms related to rotator cuff tear for the last 1 year (group 2). Average age of group 1 patients was 53.4 years old, and recovered from forward elevation 95.5° to 163.2°, external rotation from 8.5° to 68.7°, mean VAS score improved from 6.2 to 1.2. Average age of group 2 patients was 58.4 years old, and recovered from forward elevation 96.2° to 162.2°, external rotation from 8.1° to 67.8°, mean pain VAS score improved from 6.4 to 4.4. But there was statistically significant difference in pain reduction after restoration of motion compared to asymptomatic group.

Conclusion

We do not need surgical treatment at the same time because the symptoms of rotator cuff tear may not be manifested in patients with rotator cuff tear associated with adhesive capsulitis. Sufficient follow-up should be considered after restoration of shoulder motion related to adhesive capsulitis.

Keywords: Adhesive capsulitis, Rotator cuff repair, Rotator cuff tear

Figures and Tables

Table 1

Summary of demographic data

kjsm-37-11-i001

Group 1: the patients without discomfort related to rotator cuff tear after recovering their range of motion and pain, Group 2: the patients developed symptoms related to rotator cuff tear.

Table 2

Clinical results according to the follow-up period in both groups

kjsm-37-11-i002

Values are presented as mean±standard deviation.

Group 1: the patients without discomfort related to rotator cuff tear after recovering their range of motion and pain, Group 2: the patients developed symptoms related to rotator cuff tear, ROM: range of motion, VAS: visual analog scale.

Notes

^{Conflict of Interest} No potential conflict of interest relevant to this article was reported.

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